فهرست مطالب

نشریه پرستاری ایران
پیاپی 48 (زمستان 1385)

104 صفحه، بهای روی جلد: 10,000ريال
تاریخ انتشار: 1385/10/19
تعداد عناوین: 9

فارسی
English

انتخاب همه

Response of Nursing Staff to Burnout in Burn Centers of Tehran

F. Rafii, Sf. Haghdoost Oskouie, M. Yadavar Nikravesh Page 7

Background and Aim
Nursing care in a burn center is demanding intensive care which provokes emotional responses among staff. Every nurse who cares for a patient with burn injury, knows that stress is a part of working in this field and organizational problems and issues related to the patients in these centers leads to intense reactions in the staff which finally results in burnout and exerts negative influences on nursing care. Therefore, the objective of this paper as part of an extensive research was identifying the nature of burn nurse's responses to burnout.
Material and Method
Grounded theory was used in this study. Thirty- eight participants were recruited by purposeful and theoretical sampling and data were generated by unstructured interviews and participant observations. Constant comparison was used for data generation in this study.
Results
Participants represented negative dimensions in response to stress and burnout. These responses emerged as emotional, attitudinal, psychosomatic behavioral, and organizational dimensions. Emotional dimension included personal and professional desperation attitudinal dimension included depersonalization and negativity psychosomatic, responses included physical and psychological attrition behavioral response included intolerance and justification and organizational dimension included irresponsiveness care and declining performance.
Conclusion
Burnout impressed all dimensions of participant's entities and in this way, influenced quality of nursing care negatively. The process of actions and interactions of the nursing staff emerged as a response to situations and context of burn centers during time period. These responses sometimes were represented spontaneously, and sometimes as means for reducing the influence of environmental stressors. Some of these responses focused on the kind of care, and some involved feelings and emotions of the participants. But the participant's bodies were also the target of some responses. Modifying macro and micro conditions governing burn centers is necessary. Nurse administrators concerning about signs and symptoms of burnout, and also executing stress management programs will reduce stress and distress in the nurses and also improve the quality of nursing care.

Abstract View Paper Original: Persian
The Effect of Changing Position on Patient's Fatigue and Satisfaction after Coronary Angiography

M. Rezaei Adaryani, F. Ahmadi, A. Fatehi, E. Mohammadi, S. Faghih Zadeh Page 25

Background and Aim
Patient's satisfaction is one of the most important indices for evaluating quality of care. Restricting patients to be bed rest after angiography leads to minimize the complications bleeding which is always accompanied by patient's fatigue and dissatisfaction. The objective of this study is to assess the effect of changing patient's position on the levels of fatigue and satisfaction and to monitor the amount of bleeding and hematoma after angiography.
Material and Method
This study was a quasi-experimental design with accessible sampling on Iranian patients (with 18-80 years old) who had undergone non-emergency angiography, were randomly allocated to experimental or control group (35 patients in each group). A demographic questionnaire, visual analog scale to measure the fatigue intensity and the level of satisfaction, and a specific ruler to measure the amount of bleeding and hematoma were used to collect data. The experimental group was treated with the modified positioning compared to the control group with routine protocol.
Results
To analyze the data, t-test, chi square, ANOVA with repeated measure and correlation tests were used. The study finding showed that the control group had significantly higher fatigue scores, and lower satisfaction scores than the experimental group at 3, 6, 8 hours and on the next morning after angiography (P<0.05). There also was no significant difference in the amount of bleeding and hematoma in the experimental group compared to the control group (P>0.05).
Conclusion
According to the study results, modifying positioning of the patients after angiography is associated with decreased level of fatigue and increased satisfaction level without increasing the risk of bleeding and hematoma.

Abstract View Paper Original: Persian
The Effect of Coaching Role Playing by Clinical Supervisors on Staff Nurse's Morale

A. Habashizade, Z. Vanaki, H. Navipor Page 37

Background and Aim
Currently, the most concern in the clinical nursing practice is the increasing problems related to the low morale in nurses. However, the importance of managerial behaviors and their influence on nurse's morale are obvious. Therefore, the objective of this study was to investigate "the effects of coaching role of clinical supervisors on staff nurse's morale ".
Material and Method
A quasi-experimental research with pre and post-test in two groups (experimental and control) was conducted in one of the teaching hospitals in Tehran which was selected randomly. There were eight medical–surgical units that randomly allocated in two groups. The study samples included 54 nurses, 27 nurses in each group of experimental and control. Data was gathered in two periods of pre and post intervention by a Staff Nurse Morale Questionnaire. The intervention had two stages the first was orientation: nursing management development program and the second was optimizing environment by designing an applied supervision guide for coaching roles of supervisors. After this stage, clinical supervisors played coaching role for 16 weeks as coaching role players.
Results
The Chi-square test revealed no significant differences between the two groups of experimental and control regarding individual characteristics (such as age, gender, job…). The mean scores of nursing morales in the experimental group at pre and post-intervention were 59.30 and 71.30 respectively that the difference was statistically significant (P<0.001) whereas in the control group the mean of morale scores at pre and post-intervention were 69.33 and 64.07, that the reduction was significant (P<0.020). Therefore, coaching role playing by clinical supervisors resulted to staff nurses’ morale improvement.
Conclusion
One of the approaches for improvement of nursing morale is applying suitable supervision and leadership methods. Thus, according to the study findings, coaching role playing by supervisors as a novel principle of supervision and leadership can be used for nurse's morale promotion.

Abstract View Paper Original: Persian
Knowledge and Attitudes of Women Towards Sexually Transmitted Diseases and AIDS

M.Ostovar, F. Nassiriziba, S.Taavoni, H. Haghani Page 47

Background and Aim
Today, sexually transmitted diseases are developed as a threatened health problem in the developed and developing countries. According to several studies, approximately one million people are affected by sexually transmitted diseases per day, with 333 millions cases in the world. The objectives of the study were to assess knowledge and attitude of women towards sexually transmitted diseases, and AIDS and the relating factors.
Material and Method
The design was descriptive study. The study sample consisted of 500 literate women from 15 to 49 years old in reproductive age. In this study the stratified random sampling was used. The instrument for data collection was a questionnaire. After completing the questionnaires, the scores of knowledge and attitude were categorized and then the association between knowledge and attitude, was determined in women in Andimeshk.
Results
The results showed that the mean and standard deviton of age scores in women, was 27.18±9. Most of the women (62.8%) had diploma in education. Only 11.2% of women were well-informed and had high knowledge level. Also 52/4% of the subjects had negative attitude in the transmitting ways of sexually transmitted diseases, and preventive strategies of AIDS. The analysis of variance showed significant correlation between knowledge and the variables of age (P=0.002), education (P=0.000), job (P=0.000), and the spouse's job (P=0.008) and partner's education (P=0.025). Also there were signifcant correlation between attitude and age (P=0.000), education (P=0.000), and job (P=0.003). Pearson correlation coeffiaent showed that there was a direct significant relationship between knowledge and attitude (P=0.000).
Conclusion
Based on the study findings, appropriate knowledge about sexually transmitted diseases and AIDS leads to desired attitude and behavior, and reducing unreasonable fear. It seems that most of women need more education in this field with mass media.

Abstract View Paper Original: Persian
Reasons of Lack of Discharge Planning Performance by Nurses

S. Ghafari, E. Mohamadi Page 55

Background and Aim
Discharge planning for patients, is seen as a key concept in the delivery of nursing care. Despite the advantages of discharge planning for patients, family and society, the definition and performance of this planning in hospital is ambiguous, and practically it is not performed in hospital. Therefore the objective of this study was to assess the reasons of lack of discharge planning performance by nurses.
Material and Method
The design was a descriptive study with problem solving method, that carried out to determine the reasons of lack of discharge planning performance by nurses and introduce proper solutions to solve or reduce this problem. So a questionnaire was developed, then validated by 10 academic members. The sample of this study was 115 subgects in 3 groups: nurses, headnurses and supervisors of teaching hospitals of Tehran University of Medical Sciences.
Results
The three groups mentioned 5 reasons as the main barriers of lack of discharge planning performance, that divided into 2 parts nurse's high working load with inappropriate situation of their working environment, and the lack of acquaintance of nurses, patients and their families about discharge planning, related to lack of sufficient information and in service education. Also, the structural reasons with the higest mean score (M=2.04) from the three domains were determined as the main reason of the lack of discharge planning performance. For data analysis, SPSS software was used.
Conclusion
According to study result the importance of discharge planning to increase the quality and quantity of nursing care, the best solution determined as: formation of specialized groups with participating of education supervisors, one of clinical experienced nurses and lecturers in order to write and develop proper educational packages with students cooperation in nursing office and departments is recommended.

Abstract View Paper Original: Persian
Problems and Issues of less- experienced Nursing Mentors in Clinical Education

R. Masoodi, F. Alhani Page 67

Background and Aim
Althorgh remarkable achievement in higher education system, especially in the nursing and medical fields are emerged, there are still several obstacles regarding clinical nursing education concerning novice and less-experienced mentors. Therefore, the objective of this study was to investigate novice nursing mentors’ problems and providing sound solutions as influencing factors of promoting quality of education.
Material and Method
This study was a descriptive analytical design with problem solving approach for nursing mentors regarding clinical educational problems (including 40 novice mentors with less than 5 years experience) in Tehran State Universities, 2006. The data collection tool included demographic and specific nursing mentor's problems questionnaires.
Results
Analysis of data showed, the problems of education in different aspects with their priority included: 1: personal domain (determining the place of practical education regardless of the mentor’s previous experiences) with the highest score of ‘134, 2: role performance problems, (inappropriate evaluation of the mentor’s role performance by the faculty authorities) with the highest score of ‘162.5, 3: organizational structure problems (lack of a clear and coordinated organizational relationship between education and practice field) with the highest score of ‘175. 4: interaction communication problems (inadequate interaction between the novice mentor and the other clinical colleagues) with the highest score of ‘152.5, 5: equipment and facilities problems (the limitation of physical environment and inappropriate space for educational programs, conferences, etc.) with the highest score of ‘150, 6: job satisfaction problems (lack of necessary equipments for reducing in-service probable injuries and harms) with the highest score of ‘180,’ and finally, 7: perceived self-efficacy problems (the ability of discussing the novice mentor’s ideas and opinions with the faculty members) with the minimum score of 312.5.
Conclusion
According to the study findings and considering appropriate approaches of each domains based on special criteria, establishment of a "Committee of Nursing Clinical Education Quality" would be necessary as the most appropriate strategy for reducing nursing clinical education problems.

Abstract View Paper Original: Persian
Correlation Between LifeStyle and General Health in University Students

R. Samimi, D. Masrure Rodsary, F. Hosseini, M. Tamadonfar Page 83

Background and Aim
Health promotion and its maintenance are considered important elements in social development. Evidence implies that there is relationship between lifestyle and general health. Approximately 53% of the reasons of mortality rates is related to people's lifestyle. The impotance of lifestyle and related reasons have made the researchers to explore the issues of life style and health. The objective of this study was to determine the relationship between lifestyle and general health in university students. Material & Methode: The study was a correlational descriptive design. One thousand and three hundred students consisted of 864 females and 436 males with 18-44 years old (486 subjects were living in dormitory) participanted in this study. The sampling method was stratified based on the school, gender and residency situation. The data were collected by questionnaires including a demographic deta sheet, lifestyle questionnaire (physical activity, nutrition, smoking, safety measures, stress management) and general health-questionnaire with 28 items.
Result
The Chi square revealed significant relationships between general health and physical activity (P=0.000), nutrition (P=0.000), smoking (P=0.027), safety measure (P=0.000), stress management (P=0.000), and gender (P=0.01). No significant relationships were found between general health and age, school, and residency situation of the students. Also there were significant negative relatioships between general health and lifestyle dimensions.
Conclusion
According to the findings, the students had not an optimal level of physical activity. Therefore providing facilities related to physical activity and body fitness programs in the students and encorraging them to use these facilities are recommended.

Abstract View Paper Original: Persian
Frequency and Severity of Nausea and Vomiting in Pregnancy and the Related Factors among Pregnant Women

A. Soltani, M. Danesh Kajuri, Sh. Safavi, F. Hosseini Page 95

Background and Aim
Nausea and vomiting are the most common problems in early pregnancies which 50% to 80% of the women have experienced them in different degrees. This problem leads to physical and psychological disordes and may damage family relations and social functions of pregnant women. Although, the etiology of the problem is not known but some risk factors influence on this situation. Therefore, the objective of this study was to assess the frequency and severity of nausea and vomiting in pregnancy and the related factors among pregnant women.
Material and Method
The design of the study was a cross-sectional study. The study population was all the pregnant women attending to health centers in Hamedan. The sample size was 700 pregnant women with gestational age of 6 to 16 weeks. The sampling method, was multistage sampling and the study setting was the prenatal clinics in health centers in Hamedan. The data collection was a questionnaire.
Results
The study results showed that, the frequency of nausea and vomiting was %69.7 with the categorization of mild, moderate and severe (%37.4, %46.7 and %16) respectively. Also, according to the logistic regression analysis, there were significant relationships between nausea vomiting and motion sickness (P=0.000), smelling an odor (P=0.000), premenstrual syndrome (P=0.000) and unwanted pregnancy as influencing factors on inducing nausea and vomiting. Besides, multiple regression analysis test indicated significant independent correlations between severity of nausea-vomiting and migraine headache (P=0.000), motion sickness (P=0.001), smelling an odor (P=0.001), age of menarche (P=0.000), premenstrual syndrome (P=0.000) and social support (P=0.000).
Conclusion
According to the study results, the frequency of nausea and vomithing was considerable and special care and attention is needed to control the related factors of nausea and vomiting in pregnant women.

Abstract View Paper Original: Persian

علمی مصوب

نشریه پرستاری ایران

Iran Journal of Nursing

دوماهنامه پزشکی

آخرین شماره | آرشیو

ISSN: 2008-5923 eISSN: 2008-5931

صاحب امتیاز:

دانشگاه علوم پزشکی ایران

مدیر مسئول و سردبیر:

دکتر سیده فاطمه حق دوست اسکویی

تلفن نشریه: ۰۲۱-۸۸۶۷۱۶۱۳

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فهرست مطالب

نشریه پرستاری ایران پیاپی 48 (زمستان 1385)

نشریه پرستاری ایران

Iran Journal of Nursing

نشریه پرستاری ایران
پیاپی 48 (زمستان 1385)